TIBCO’s new TIBCO Foresight Translator Claims Attachment Adapter provides health plans with mission-critical tools to gather clinical information for improved care management and to resolve complex claims faster.
May 12, 2015 – Rockville, MD – TIBCO Software Inc. has entered into a marketing agreement with Secure Exchange Solutions to empower its public and commercial health plan clients to expedite and streamline clinical information exchange. With Secure Exchange Solutions’ cloud-based Direct platform, TIBCO customers gain access to the universal communication mechanism already in place in the healthcare provider setting. Health plans can leverage this Health and Human Services (HHS) mandated service to meet their critical need to improve the collection and dissemination of clinical information. TIBCO Foresight® Translator Claims Attachment Adapter supports care management communications with providers and enables plans to collect the clinical data required for medical risk assessment, complex claims adjudication, and quality reporting.
“TIBCO teamed with Secure Exchange Solutions as part of our commitment to bring our health care customers the tools they need to remain leaders in their field,” said Mike Kennedy, Sr. Director, Engineering, TIBCO Software. “One of the biggest challenges faced by health plans today is clinical information exchange. By leveraging the Direct standard and the Secure Exchange Solutions platform – renowned for its security, performance and scalability – health plans will be able to get information faster, and receive data in a format that fits their workflows, with minimal implementation effort.”
To expand the health plans’ ability to communicate seamlessly with their entire provider communities, TIBCO customers will leverage Secure Exchange’s Provider Directory Synchronization service, which provides for continuous update of providers’ Direct account information matched against each plan’s provider database.
“With the ICD-10 implementations, public and private health plans alike face an increase in the time and effort required to process claims,” said Dan Kazzaz, CEO of Secure Exchange Solutions. “By using the TIBCO Claims Attachment Adapter, powered by Secure Exchange Solutions, plans will have an electronic, trackable mechanism to communicate with providers as they resolve claim errors resulting from the new coding system, reducing the amount of time plans spend on less-efficient methods of communication and the amount of money needed to be held in reserve for pending claims.”
About Secure Exchange Solutions
Secure Exchange Solutions sets the standard for seamless, scalable, secure connectivity across organizational boundaries. As an industry-leading health information service provider, Secure Exchange Solutions protects, streamlines and delivers sensitive and critical health care information while ensuring compliance and improving efficiency and quality. Hospitals, health systems, physicians, health plans and channel partners rely on Secure Exchange Solutions for integrated secure communications that expand their reach. For more information, please visit www.secureexsolutions.com